Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Rosecrance Inc (NPI 1699106468)

Field	Value
Entity Type	Organization
Organization	Rosecrance Inc
Address	526 W State St
City	Rockford
State	IL
ZIP	61101
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	December 4, 2013

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	56,430	$60	$3.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	3,150	$50	$166.9K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	130	$100	$12.3K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

Claims Volume vs. Illinois Distribution

Rosecrance Inc — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	354	800	2,480	$90	$962.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	8	240	2,810	$60	$602.7K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	197	330	210	$110	$97.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rosecrance Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rosecrance Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$43.5M
Rosecrance Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.1M
Rosecrance, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
Rosecrance Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.6M
Rosecrance Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.1M
Rosecrance Inc	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$4.9M
Rosecrance Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Rosecrance, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3M

Rosecrance Inc — Billing Profile & Reimbursement Data

Sign up for Rosecrance Inc — Billing Profile & Reimbursement Data policy alerts

Rosecrance Inc — Billing Profile & Reimbursement Data

Sign up for Rosecrance Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References